Suicidality among Chinese college students: A cross-sectional study across seven provinces

作者：Bob Lew, Kairi Kõlves, Augustine Osman, Mansor Abu Talib, Norhayati Ibrahim, Ching Sin Siau, Caryn Mei Hsien Chan · 发表于：PLoS ONE · 年份：2020 · DOI：10.1371/journal.pone.0237329 · 被引用次数：37 · 研究领域：Suicide and Self-Harm Studies、COVID-19 and Mental Health、Mental Health Treatment and Access

BACKGROUND: Although the suicide rate in China has decreased over the past 20 years, there have been reports that the younger age group has been experiencing an increased incidence of completed suicide. Given that undergraduate groups are at higher risks of suicidality, it is important to monitor and screen for risk factors for suicidal ideation and behaviors to ensure their well-being. OBJECTIVE: To examine the risk and protective factors contributing to suicidality among undergraduate college students in seven provinces in China. METHODS: We conducted a cross-sectional study involving 13,387 college students from seven universities in Ningxia, Shandong, Shanghai, Jilin, Qinghai, Shaanxi, and Xinjiang. Data were collected using self-report questionnaires. RESULTS: Higher scores in the psychological strain, depression, anxiety, stress, and psychache (psychological risk factors for suicidality) and lower scores in self-esteem and purpose in life (psychological protective factors against suicidality) were associated with increased suicidality among undergraduate students in China. Demographic factors which were associated with higher risks of suicidality were female gender, younger age, bad academic results, were an only child, non-participation in school associations, and had an urban household registration. Perceived good health was protective against suicidality. CONCLUSIONS: Knowing the common risk and protective factors for suicidality among Chinese undergraduate students ...